Physicians confront alcoholism regularly. Indeed, nearly every day on my hospital
rounds, I treat patients who are suffering the ravages of alcohol abuse. While these patients may have a genetic
predisposition toward alcohol abuse, or faced other personal pressures and
demons, ultimately the disease is initiated by a person who made an unfortunate
decision. I do not judge these
individuals as their doctor, any more than I do my hepatitis C patients who
contracted the virus as a result of intravenous drug use. But, when are examining the causes of these
maladies, personal responsibility and accountability must be considered. In fact, failure to do so will frustrate our
efforts to prevent various injurious addictions.
Physicians and others have heard the vignette when an
alcoholic denies his addiction despite that every other person in his life
feels otherwise. “They are all wrong,”
he states emphatically.
'I can quit anytime.'
There are many examples of individuals who stand their ground
despite popular disapproval. This might
represent truly noble behavior and high principle when a person defies public
opinion by doing the right thing. This
is called leadership. More commonly,
when a person lurches forward in defiance of the opinions and advice of experts
and others, it is not leadership, but ignorance, hubris and arrogance.
Recently, a Chinese researcher announced that a set of twins
were born after altering their genes so that they would be protected against
infection with the HIV virus. The
scientist announced that other births with gene alterations would be arriving
soon. I’ll not relate the scientific
details, much of which is beyond my knowledge and understanding. But, readers need to be aware that these
genetic changes will not only affect the specific individuals but would be
passed onto their offspring. If true, it
would constitute a permanent and heritable change in a person’s genetic code. This is to be distinguished from utilizing
genetic science to treat a single patient only, a more ethically palatable
procedure.
I’ll leave aside the obvious fears that such a wanton
ethical breach generates. Even a lay
person can appreciate the potential dangers at play here. Scientists and ethicists could give us a
fuller account of what is at risk. And
they themselves would admit: ‘Imagine what we don’t know’.
The global ethical community, including in China, expressed
opprobrium against this arrogant, dangerous and rogue action. It is
rare for any of us to witness an issue that unifies people, organizations and
nations that are so often in conflict.
The Chinese researcher in the face of worldwide outrage
continues to defend his work. In other
words, the world is wrong.
When there is responsible opposition to our own views and
beliefs, shouldn’t we consider that we might be wrong?
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